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PRAME peptide presented by HLA-A*02:01 (PRAME-HLA-A*02:01 complex (alternatively: PRAME/HLA-A2 complex))

Target
PRAME-HLA-A*02:01 complex (alternatively: PRAME/HLA-A2 complex)
Molecular classification
Peptide–MHC complex, Tumor antigen, Immunotherapy target, Antigen-presenting complex
01

Overview

The PRAME peptide presented by HLA-A*02:01 is a tumor-specific antigen complex formed when a peptide from the intracellular protein PRAME is processed and displayed on the surface of cancer cells by the human leukocyte antigen (HLA) type A*02:01, a common MHC class I molecule. This complex is a highly attractive target for cancer immunotherapy, notably in solid tumors and leukemias, due to the high prevalence of PRAME expression in tumors but minimal expression in normal tissues. Engineered T-cell receptors (TCRs) or TCR-mimic antibodies recognizing this complex can mediate robust, HLA-restricted cytotoxic immune responses, resulting in selective tumor cell killing while sparing most healthy tissues. The most extensively studied PRAME peptide in this context is the nonamer SLLQHLIGL, also known as PRAME-004. This immunotherapy approach is under active clinical investigation and forms the basis of several TCR-T cell therapy candidates.

Other names
PRAME-HLA-A*02:01 complexPRAME-004 peptide–HLA-A*02:01 complexPRAME (SLLQHLIGL) peptide presented by HLA-A*02:01PRAME-derived HLA-A*02:01-restricted peptide
02

Mechanism of action

Recognition and binding of the PRAME peptide–HLA-A*02:01 complex by engineered TCRs or TCR-mimic antibodies triggers targeted cytotoxic T-cell killing of PRAME-expressing tumor cells

03

Biological functions

Immune responseAntigen presentationTumor immune surveillanceTumor antigen recognition by T cells
04

Disease associations

Cancer (including cutaneous melanoma, synovial sarcoma, uterine carcinoma, ovarian carcinoma, acute myeloid leukemia)Other (as PRAME is highly expressed in various malignancies and minimally in healthy tissue)
05

Safety considerations

Off-tumor toxicity due to low-level expression of PRAME in non-malignant tissues; low risk observed in trials, with rare signal in renal epithelial cells but no confirmed renal toxicity in patients so farRisk of cross-reactivity with other peptides, though specificity analyses show low physiological relevance of weak off-target events
06

Interacting drugs

T-cell receptor (TCR) therapies targeting PRAME peptide–HLA-A*02:01 (e.g., IMA203, TCR-mimic antibodies)

1 more in the full profile.

07

Biomarkers

PRAME mRNA expression (for patient selection)Presence of PRAME peptide–HLA-A*02:01 on tumor cells (for eligibility in TCR-T cell therapies)

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